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Editor's Correspondence
January 24, 2011

Lack of Evaluation of the Effects of Single Preventive Measures for Falling

Author Affiliations

Author Affiliations: Diabetes Centre (Drs van Hateren and Bilo) and Department of Internal Medicine (Drs Kamper and Bilo), Isala Clinics, Zwolle, the Netherlands; and Department of Internal Medicine, University Medical Center Groningen, Groningen, the Netherlands (Dr Bilo).

Arch Intern Med. 2011;171(2):181-182. doi:10.1001/archinternmed.2010.506

With great interest we read the article by de Vries et al1 in which they showed that their multifactorial fall-prevention program did not reduce falls in high-risk, cognitively intact, older persons.1 Together with the conflicting results of previous meta-analyses, these results question the effectiveness of fall prevention programs.2-4 The heterogeneity of the studies included in these meta-analyses may have caused the conflicting results. The preventive measures applied in the various multifactorial programs were different, and a major problem is the lack of evaluation of the effects of the single preventive measures.